Audio Qbank – Q313 – A 39M with a tumor
A 39-year-old man comes to the physician for a 3-week history of midline back pain. He has gained 10 kg (22 lbs) during the past 4 months. Visual field …
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Audio Qbank – Q308 – A 64F with diabetes
A 64-year-old woman with a 30-year-history of poorly controlled type II diabetes mellitus presents to the physician for a one-week history of nosebleeds and fatigue. Serum creatinine is 2.2 …
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Audio Qbank – Q304 – A 4M with an enzyme deficiency
A 4-year-old boy is being evaluated for abnormal laboratory findings. Serum K+ is 6.4 mEq/L, HCO3– is 20 mEq/L, and DHEA-S is elevated. Which of the following enzymes is …
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Audio Qbank – Q267 – Neonatal thyroid function
A neonate has a heel prick test performed showing normal serum TSH, normal serum free T4, and decreased serum total T4. What’s the most likely diagnosis? Anti-thyroid antibodies (fetal-derived) …
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Audio Qbank – Q215 – A 2M with writhing movements
A 2-year-old boy is brought to the physician because of unusual writhing movements in his sleep observed by his parents. Physical examination shows a 4-mm nodule beneath his left …
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Audio Qbank – Q207 – A 38M with muscle aches and fatigue
A 38-year-old man comes to the GP because of a 3-month history of muscle aches and fatigue. He was treated for a ureteral calculus one year ago. A technetium-99m …
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Audio Qbank – Q204 – A female newborn with thyroid derangement
A female newborn is found to have an elevated serum TSH and reduced T3 and T4 concentrations. Physical examination shows an anterior cervical mass high in the neck; the …
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Audio Qbank – Q203 – A 26F increases her sodium intake
A healthy 26-year-old woman increases her sodium intake over a 48-hour period. Which of the following is most likely to be increased in this patient? ACTH Aldosterone Angiotensin …
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Audio Qbank – Q202 – A 28M has his pituitary stalk severed
A 28-year-old man has his pituitary stalk severed during an operation to remove an adjacent tumor. Secretion of which of the following hormones is most likely to be increased …
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Audio Qbank – Q201 – A 34M with reported lightheadedness
A 34-year-old man comes to the physician reporting abnormal lightheadedness the past few days. On examination he appears slightly tremulous. Heart rate is 88. Serum fasting glucose is measured …
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